Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Cardiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001100007 |
Resumo: | OBJECTIVE - To study cardiovascular alterations in young patients with no apparent organic disease who underwent electroconvulsive therapy. METHODS - The study comprised 47 healthy patients (22 males and 25 females) with a mean age of 30.3 years, who underwent electroconvulsive therapy. Ambulatory blood pressure monitoring and continuous electrocardiographic monitoring (Holter monitor) were performed during 24 hours. Blood pressure and heart rate were assessed 4 hours prior to electric shock administration, during electric shock administration, and 3 hours after electric shock administration. Arrhythmias and alterations in the ST segment in 24 hours were recorded. RESULTS - On electroconvulsive therapy, a significant increase in blood pressure and heart rate was observed and the measurements returned to basal values after 25 minutes. Three females had tracings with depression of the ST segment suggesting myocardial ischemia prior to and after electroconvulsive therapy. Coronary angiography was normal. No severe cardiac arrhythmias were diagnosed. CONCLUSION - 1) Electroconvulsive therapy is a safe therapeutic modality in psychiatry; 2) it causes a significant increase in blood pressure and heart rate; 3) it may be associated with myocardial ischemia in the absence of coronary obstructive disease; 4) electroconvulsive therapy was not associated with the occurrence of severe cardiac arrhythmias. |
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Arquivos Brasileiros de Cardiologia (Online) |
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Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adultselectroconvulsive therapyblood pressureheart ratearrhythmiasmyocardial ischemiaOBJECTIVE - To study cardiovascular alterations in young patients with no apparent organic disease who underwent electroconvulsive therapy. METHODS - The study comprised 47 healthy patients (22 males and 25 females) with a mean age of 30.3 years, who underwent electroconvulsive therapy. Ambulatory blood pressure monitoring and continuous electrocardiographic monitoring (Holter monitor) were performed during 24 hours. Blood pressure and heart rate were assessed 4 hours prior to electric shock administration, during electric shock administration, and 3 hours after electric shock administration. Arrhythmias and alterations in the ST segment in 24 hours were recorded. RESULTS - On electroconvulsive therapy, a significant increase in blood pressure and heart rate was observed and the measurements returned to basal values after 25 minutes. Three females had tracings with depression of the ST segment suggesting myocardial ischemia prior to and after electroconvulsive therapy. Coronary angiography was normal. No severe cardiac arrhythmias were diagnosed. CONCLUSION - 1) Electroconvulsive therapy is a safe therapeutic modality in psychiatry; 2) it causes a significant increase in blood pressure and heart rate; 3) it may be associated with myocardial ischemia in the absence of coronary obstructive disease; 4) electroconvulsive therapy was not associated with the occurrence of severe cardiac arrhythmias.Sociedade Brasileira de Cardiologia - SBC2002-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001100007Arquivos Brasileiros de Cardiologia v.79 n.2 2002reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.1590/S0066-782X2002001100007info:eu-repo/semantics/openAccessRumi,Demetrio OrtegaSolimene,Maria CecíliaTakada,Júlio YoshioGrupi,César JoséGiorgi,Dante MarceloRigonatti,Sérgio PauloLuz,Protásio Lemos daRamires,José Antonio Franchinieng2002-09-10T00:00:00Zoai:scielo:S0066-782X2002001100007Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2002-09-10T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults |
title |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults |
spellingShingle |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults Rumi,Demetrio Ortega electroconvulsive therapy blood pressure heart rate arrhythmias myocardial ischemia |
title_short |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults |
title_full |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults |
title_fullStr |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults |
title_full_unstemmed |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults |
title_sort |
Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults |
author |
Rumi,Demetrio Ortega |
author_facet |
Rumi,Demetrio Ortega Solimene,Maria Cecília Takada,Júlio Yoshio Grupi,César José Giorgi,Dante Marcelo Rigonatti,Sérgio Paulo Luz,Protásio Lemos da Ramires,José Antonio Franchini |
author_role |
author |
author2 |
Solimene,Maria Cecília Takada,Júlio Yoshio Grupi,César José Giorgi,Dante Marcelo Rigonatti,Sérgio Paulo Luz,Protásio Lemos da Ramires,José Antonio Franchini |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Rumi,Demetrio Ortega Solimene,Maria Cecília Takada,Júlio Yoshio Grupi,César José Giorgi,Dante Marcelo Rigonatti,Sérgio Paulo Luz,Protásio Lemos da Ramires,José Antonio Franchini |
dc.subject.por.fl_str_mv |
electroconvulsive therapy blood pressure heart rate arrhythmias myocardial ischemia |
topic |
electroconvulsive therapy blood pressure heart rate arrhythmias myocardial ischemia |
description |
OBJECTIVE - To study cardiovascular alterations in young patients with no apparent organic disease who underwent electroconvulsive therapy. METHODS - The study comprised 47 healthy patients (22 males and 25 females) with a mean age of 30.3 years, who underwent electroconvulsive therapy. Ambulatory blood pressure monitoring and continuous electrocardiographic monitoring (Holter monitor) were performed during 24 hours. Blood pressure and heart rate were assessed 4 hours prior to electric shock administration, during electric shock administration, and 3 hours after electric shock administration. Arrhythmias and alterations in the ST segment in 24 hours were recorded. RESULTS - On electroconvulsive therapy, a significant increase in blood pressure and heart rate was observed and the measurements returned to basal values after 25 minutes. Three females had tracings with depression of the ST segment suggesting myocardial ischemia prior to and after electroconvulsive therapy. Coronary angiography was normal. No severe cardiac arrhythmias were diagnosed. CONCLUSION - 1) Electroconvulsive therapy is a safe therapeutic modality in psychiatry; 2) it causes a significant increase in blood pressure and heart rate; 3) it may be associated with myocardial ischemia in the absence of coronary obstructive disease; 4) electroconvulsive therapy was not associated with the occurrence of severe cardiac arrhythmias. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001100007 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001100007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0066-782X2002001100007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Cardiologia v.79 n.2 2002 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
Arquivos Brasileiros de Cardiologia (Online) |
collection |
Arquivos Brasileiros de Cardiologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
||arquivos@cardiol.br |
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1752126552152211456 |